Nicotine dependence

Drug Safety Update

November 2023: E-cigarette use or vaping: reminder to remain vigilant for suspected adverse reactions and safety concerns and report them to the Yellow Card scheme

January 2021: SSRI/SNRI antidepressant medicines: small increased risk of postpartum haemorrhage when used in the month before delivery

November 2020: Bupropion (Zyban): risk of serotonin syndrome with use with other serotonergic drugs

 January 2020: E-cigarette use or vaping: reporting suspected adverse reactions, including lung injury

  October 2009: Smoking and smoking cessation: clinically significant interactions with commonly used medicines

  November 2008: Varenicline: adverse psychiatric reactions, including depression

NICE Guidance

  NG209 Stop smoking interventions and services, March 2018

  TA123 Varenicline for smoking cessation, July 2007

Smoking cessation interventions are a cost-effective way of reducing ill health and prolonging life. Smokers should be advised to stop and offered help if interested in doing so.

Where possible, smokers should have access to a smoking cessation clinic for behavioural support.

Local Guidance

MTW Smoking Cessation Treatments

For use in the community. Not for secondary care initiation.

Pack
100 tablet

Specialist prescribing only

Pack
11 tablet
56 tablet
Pack
14 tablet
28 tablet
56 tablet
  • On Formulary Preferred
  • On Formulary Second Line
  • On Formulary Third Line
  • Specialist Initiation
  • Secondary Care Only
  • Not Approved for Formulary